Individual provider Active NPI

Wendy S. Horton-Bierema, MA, LLP, OTRL

  • Psychologist
  • Kalamazoo, MI
National Provider Identifier
1598764219
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361002972 Issued in MI
Practice address
605 Howard St
Kalamazoo, MI 49008-1919
Phone
(269) 323-8770
Fax
(269) 215-8020
NPI assigned
Jul 15, 2005
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361002972 MI Primary
Occupational Therapist 225X00000X 5201002009 MI

Addresses

Primary practice location

605 Howard St
Kalamazoo, MI 49008-1919

Mailing address

2519 Sheffield Dr
Kalamazoo, MI 49008-2211
Phone (269) 323-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000780 MI Practitioner - Occupational Therapist in Private Practice 9638331184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361002972MIMDPsychologist
5201002009MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Center for Occupational Therapy, LLC Psychologist CurrentSince Jan 26, 2012 Accepting new patients

Locations

605 Howard St
Kalamazoo, MI 49008
Phone (269) 323-8770

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1598764219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 SHEFFIELD DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082211",
            "telephone_number": "269-323-8770",
            "fax_number": "269-215-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-323-8770",
            "fax_number": "269-215-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-BIEREMA",
        "first_name": "WENDY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MA, LLP, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361002972",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.